Field of the Invention
[0001] The present invention relates generally to a separate and/or removable energy source
for sensor guidewires and in particular to an attachable and/or detachable battery
pack or holder located on or at the transceiver unit in such an assembly.
Background of the Invention
[0002] In many medical procedures, various physiological data within the body of a patient
need to be monitored and analyzed. Typically, these data are physical in nature -
such as pressure, temperature, and flow rate - and need to be monitored in a safe,
reliable and accurate way. In the prior art, it is known to mount a sensor on a guidewire
or catheter and to position the sensor via the guidewire in a blood vessel in a living
body to detect such a physical parameter. The sensor includes elements that are directly
or indirectly sensitive to the parameter. Numerous patents describing different types
of sensors for measuring physiological parameters are assigned to the assignee of
the present patent specification. For example, temperature can be measured by observing
the resistance of a conductor having temperature sensitive resistance as described
in
US Patent No. 6,615,067. Another exemplifying sensor may be found in
US Patent No. 6,167,763, in which blood flow exerts pressure on the sensor which delivers a signal representative
of the exerted pressure.
[0003] The raw signal generated by the sensor located within the body is transmitted to
an external device, in which the signal is re-translated into physiological data,
which is processed and the results are continuously displayed on e.g. a monitor and/or
saved. In order to power the sensor and communicate signals representing the measured
physiological variable to an external device, one or more cables or leads for transmitting
the signals are connected to the sensor, and are routed along the guidewire to be
passed out from the vessel to the external device, conventionally via physical cables.
In addition, the guidewire is typically provided with a central metal wire (core wire)
serving as a support for the sensor and (optionally) also as an electrical connection
to the sensor, and a surrounding tubing. Hence, a sensor guidewire typically comprises
a core wire, leads and protective tubing, as well as a distal coil or tube and a jacket
housing encasing the sensor.
[0004] In order to eliminate the risks of having an electrically conductive device such
as a pressure transducer connected both to a patient and to an electronic monitoring
instrument, a wireless arrangement can be used, e.g. as described in
US Patent Application Publication No. 2006/0009817, assigned to the present assignee. In the aforementioned patent application, the
pressure sensor wire is adapted to be connected, at its proximal end, to a transceiver
unit that is adapted to wirelessly communicate via a communication signal with a communication
unit arranged in connection with an external device, in order to transfer measured
pressure data to the external device. In addition to the advantage of electrical insulation,
a wireless arrangement decreases the amount of cables and other electrical equipment
present in the operating room, and also facilitates the use of a standardized communication
unit capable of being connected to a wide range of external devices. This obviates
the necessity to use a specific external device, possibly different from that which
is already present in the operating room. However, in contrast to a conventional sensor
guidewire assembly, the pressure sensor in a wireless arrangement is not in electrical
connection with the external device. Therefore, an additional energy source may be
required, such as a battery or capacitor, to power the transceiver unit and the pressure
sensor. Also in a wired sensor guidewire assembly, a battery can be used as an alternative
or auxiliary power supply.
[0005] An example of a medical device for measurement of internal temperature or pressure
is disclosed in the German patent publication
DE10 2005 003 171. In this arrangement, an energy source, which can be in the form of batteries, accumulators,
or capacitors, can be plugged into a handle provided at the proximal end of a catheter.
However, this publication does not mention that the energy source is contained in
any kind of holder or connector.
[0006] Using a transceiver with an internal battery is not well-suited for use in a disposable
single-use medical device intended for an extended procedure in a sterile environment,
which is the normal situation for sensor guidewires. Therefore, an object of the present
invention is to provide an energy source better adapted to the abovementioned conditions,
for use with sensor guidewires and other medical devices wherein a sensor is inserted
into a body cavity for measurement of a physiological parameter.
Summary of the Invention
[0007] The above-mentioned object is achieved by the present invention according to the
preamble of claim 1 and provided with the features according to the characterizing
portion of the independent claim. Preferred embodiments are set forth in the dependent
claims.
[0008] The present invention provides an attachable and separately manufactured and packaged
energy source for a sensor guidewire assembly. Furthermore, the energy source is adapted
to a sterile manufacturing and handling process, and is easily disposable in an environmentally
acceptable manner. In addition, in some embodiments, the energy source can be adapted
to be detached after completing a procedure, optionally recharged, re-sterilized and
used in one or more subsequent sensor guidewire procedures. The energy source can
be used in a wired or wireless setup in a sensor guidewire procedure.
[0009] In some embodiments, the energy source comprises one or several batteries. The batteries
can be enclosed in a sealed holder. The battery pack is connected to a transmitter
or transceiver unit whereupon, in some embodiments, the unit is powered up, calibrated
and can optionally indicate by a light or sound signal that the assembly is ready
for use.
[0010] In some embodiments, improper reuse of a sensor guidewire assembly (for example,
reuse of an assembly designed for a single use) is prevented or discouraged by providing
an energy source holder which cannot be disconnected from the guide wire once the
energy source holder has been attached. With such a one-way attachment of an energy
source, the sensor guidewire cannot be sterilized separately from the energy source,
and re-sterilization of the (single-use) sensor guidewire assembly is therefore discouraged.
In other embodiments, improper re-sterilization and reuse is prevented by specially
designed software, which only allows the sensor to be powered up one time, i.e. restart
of the sensor is inhibited.
Brief Description of the Drawings
[0011]
Figure 1 illustrates one application of the present invention in a sensor guidewire
assembly.
Figure 2 shows a block diagram schematically illustrating a transmitter unit according
to a preferred embodiment of the present invention.
Figures 3a and 3b illustrate the present invention according to a further embodiment,
in cross-sectional view and perspective view, respectively.
Figure 4 illustrates the present invention according to another embodiment.
Figure 5 illustrates the present invention according to yet another embodiment.
Figure 6 illustrates the present invention in a further embodiment.
Detailed Description of Preferred Embodiments
[0012] For ease of understanding, embodiments of the present invention are described in
conjunction with a sensor guide wire. However, it is also within the scope of the
invention to use an attachable energy source according to the present invention to
power a transmitter unit connected to a sensor mounted on a catheter. Moreover, the
transmitter unit is in many cases also a receiver unit. In those cases, the unit is,
in fact, a transceiver unit, wherein the communication with the external device is
a two-way communication. Thus, in the description below, unless explicitly stated,
a transceiver unit can be exchanged for a transmitter unit.
[0013] In manufacturing a pressure sensor guide wire assembly, the pressure sensor wire
and the transceiver unit must be able to be sterilized prior to use, which in practice
has produced problems in the cases where an internal battery is present. Conventionally,
gas sterilization using ethylene oxide is used for sensor guidewires. Specific precautions
for each type of battery need to be taken in order to eliminate the risks of placing
a battery connected to an electrical circuit in ethylene oxide. The present invention
provides an improved sensor guidewire assembly, which can be sterilized safely and
also has environmental advantages.
[0014] For ease of description, examples of the present invention are illustrated in conjunction
with an internal pressure sensor mounted in a wireless sensor guidewire assembly.
However, it should be noted that it is within the scope of the invention to use a
sensor adapted to measure other physiological parameters within the body, such as
flow or temperature. It is also within the scope of the present invention to use a
wired sensor guidewire assembly. Even though conventional, i.e. non-wireless, sensor
guidewire assemblies are powered by an external power source, the present invention
can eliminate the dependency on an external power source, or serve as an auxiliary
energy source.
[0015] Figure 1 is a schematic overview illustrating one application of the present invention.
The pressure measurement system according to this embodiment of the present invention
comprises a pressure sensor wire with a sensor adapted to measure pressure inside
a patient, and to provide measured pressure data to an external device. The pressure
sensor wire is adapted to be connected, at its proximal end, to a transmitter or transceiver
unit adapted to wirelessly communicate via a radio frequency signal with a communication
unit arranged in connection with an external device, in order to transfer measured
pressure data to the external device for analysis and display.
[0016] The external device may be a dedicated device or a patient monitoring device, preferably
provided with a monitor, or a PC provided with relevant software and external connections
to receive and to process the measured data from the pressure measurement system.
[0017] Figure 2 shows a block diagram schematically illustrating the transceiver unit 10
according to one embodiment of the present invention. As shown in Figure 1, the transceiver
unit is adapted to be connected to the proximal end of a pressure sensor wire provided,
at its distal end, with a pressure sensor to measure pressure inside a patient. Preferably,
the transceiver unit 10 comprises a sensor signal adapting circuitry 1, a communication
module 2, connected to the adapting circuitry 1, that will handle the wireless communication
with the communication unit via an antenna 3. The communication is preferably bi-directional,
but can also be one-way.
[0018] The measured signal is communicated by the transceiver unit and transferred as a
data stream to the communication unit at a prescribed frequency range (in the case
where the communication signal is a radio frequency signal). The signal can also be
an infrared signal, a light signal, an ultrasound signal or any wirelessly transmitted
signal. In Figure 2, the antenna 3 is illustrated as protruding outside the transceiver
unit but may, as an alternative, be integrated into the housing of the transceiver
unit. The pressure sensor wire is adapted to be inserted into an elongated aperture
4 of the transceiver unit 10. The aperture 4 is at its inner surface provided with
a number of electrical connecting surfaces (not shown) to be connected to electrode
surfaces at the proximal end of the pressure sensor wire when inserted into the aperture
4. The transceiver unit 10 can further be provided with a wire fastening means or
mechanism (not shown) to firmly fixate the wire when correctly inserted into the aperture,
if the transceiver unit is intended to be used as a torque device, as described below.
As an alternative, the wire fastening means or mechanism can be constructed to hold
the wire securely longitudinally, while allowing free rotation of the wire within
the aperture 4.
[0019] When the pressure sensor wire is fixated to the transceiver unit, the unit may be
used as a torque device when guiding the pressure sensor wire during insertion into
a patient. Preferably the transceiver unit is provided with gripping means or structure
5, e.g. in the form of one or many elongated ribs on the outer surface of the transceiver
unit, or by providing the transceiver unit with a roughened surface. In this context
it should be mentioned that in the figures, the transceiver unit 10 and corresponding
battery pack or holder 6 (described below) are illustrated as having a generally round
cross-sectional shape. However, it should be noted that it is within the scope of
the invention to provide a transceiver unit and corresponding battery pack/holder
with any cross-sectional shape. Using, for example, an octagonal cross-sectional shape,
will provide for easier manipulation when using the transceiver unit as a torque device.
[0020] The transceiver unit is further provided with an attachable and detachable battery
pack or battery holder 6. The battery holder 6 includes a battery compartment for
holding one or more batteries. The battery or batteries may be held such that the
battery or batteries can be removed and readily replaced by a user. The battery or
batteries may be rechargeable or non-rechargeable. Notably, the battery pack/holder
6 is delivered separated from the transceiver unit and attached just prior to initiation
of the surgical procedure. The battery pack is preferably encapsulated to ensure easy
sterilization as well as easy transport, handling and connection. The battery pack
6 can be hermetically sealed if desired. The battery pack 6 is also provided with
electrical connecting surfaces 8 constructed so as to fit the corresponding electrical
contact members 7 on the transceiver unit 10. The battery pack 6 can be connected
to the transceiver unit 10 by any type of electrical connectors to mate electrical
connections, such as, but not limited to, those described below.
[0021] In Figure 2, the connection is illustrated as having extending plugs 7 on the transceiver
unit and receiving apertures 8 on the battery pack 6. However, it is within the scope
of the present invention to provide the opposite arrangement, i.e. extended plugs
on the battery pack and apertures on the transceiver unit. The extended plugs can
moreover have any cross-sectional shape, as long as the receiving apertures are adapted
to accept the extended plugs. Furthermore, the extended plugs and receiving apertures
can be constructed such that the extended plugs snap into place when fully inserted,
so as to firmly attach the battery pack 6 to the transceiver unit 10.
[0022] In a further embodiment, illustrated in cross-sectional view in Figure 3a and in
perspective view in Figure 3b, the electrical connector is provided with a protective
seal 9, preferably sealing the connection between the battery pack 6 and the transceiver
unit 10 against fluids and other material when connected. The seal 9 is preferably
elastic and can comprise rubber, silicone or any other material used to seal openings
against penetrating fluids. Furthermore, the seal 9 is provided with an inner diameter
slightly smaller than the outer diameter of the transceiver unit 10. The protective
seal 9 can be any shape, as long as it seals the section containing electrical connecting
surfaces effectively against penetrating material which could potentially short-circuit
the connection. In the types of procedures described here, i.e. when using a sensor
guidewire, there is normally blood and other fluids present and it is important in
such an environment to avoid short-circuiting the system. The protective seal 9 can
also be constructed so as to firmly hold the connector in place. Furthermore, the
protective seal 9 can function as a shield against accidental contact by the user
with the live electrical circuitry.
[0023] A further embodiment is illustrated in Figure 4. As shown, the electrical connector
can comprise electrical connecting surfaces or contact members 17, 18 placed flat
against the transceiver unit 20 and the battery pack/holder 16, respectively, which
come in contact with each other when the battery pack is connected to the transceiver
unit by any attachment means or mechanism (an example of which is described below).
Using flat electrical contact members provides for easy cleaning of the connecting
surfaces, which is an important characteristic when working with electrical equipment
in a wet environment. Here, the connector is provided with a protective seal 19, which
can also function to effectively hold the battery pack attached to the transceiver
unit 20, and optionally also act as a shield against accidental contact by the user
with the live electrical circuitry.
[0024] In addition to using the protective seal as an attachment mechanism using frictional
forces, the battery pack or holder can also be attached to the transceiver unit by
any fastening mechanism, including the embodiment illustrated in Figure 5. In this
embodiment, the protective seal 29 again functions as a portion of an attachment means
or mechanism. The inside of the protective seal 29 on the battery pack 26 is provided
with internal threads 31 adapted to fit external threads 32 located on the transceiver
unit 30. This embodiment provides very secure attachment, however the design of the
electrical connecting surfaces (not shown in Figure 5) has to be adapted to a rotating
attachment procedure. For example, the flat contact members illustrated in Figure
4 can be used in this embodiment. Other attachment means or structure besides threads
include, but are not limited to, snaps, screws and barbs.
[0025] As already has been explained, gas-sterilization of a sensor and guidewire assembly
comprising an energy source connected to an electric circuit involves a certain risk,
because typical sterilization gases like, for example, ethylene oxide (ETO) gas are
explosive. The present invention comprises means to discourage re-sterilization of
a sensor guidewire assembly by preventing re-use of already used sensor guidewire
assemblies and battery packs. This can be achieved by either a mechanical solution
or a software solution.
[0026] In some embodiments, the means of preventing re-use of the system comprise the battery
pack or holder being attached to the transceiver unit by a keying mechanism which
prevents subsequent detachment of the battery pack. One such embodiment is illustrated
in Figure 6. Here, the electrical connecting surfaces or contact members 47, 48 of
the transceiver unit 40 are designed such that disconnection is impossible without
rendering the device visibly unsuitable for use. In Figure 6, the protruding electrical
contact members 47 are easily inserted into the receiving apertures 48 of the battery
pack 46, as the protruding contact members 47 can be bent inwards and/or compressed
on insertion. However, once in place, the electrical contact members cannot be separated,
as the protruding members 47 snap into place when fully inserted. It should be noted
that it is within the scope of the present invention to use other designs of the electrical
contact members, or the transceiver unit itself, including an optional protective
seal as described above, to provide for an attachment mechanism which allows easy
attachment, but prevents subsequent detachment of the battery pack from the transceiver
unit. Non-limiting examples of such a keying mechanism include snap-locks, barbs,
and spring-loaded or other biased attachment locks. Preferably a one-way attachment
mechanism is combined with a circuit solution where the sensor is continuously powered
by the energy source such that the energy source is drained of energy, which discourage
from re-sterilization of a sensor assembly.
[0027] When the battery pack or battery holder 6, 16, 26 has been attached to the transceiver
unit, and the communication unit is connected to or integrated into the external device,
the system is ready for use. According to one embodiment, the transceiver unit is
activated and initiated when the battery pack is correctly attached to the unit. Upon
correct attachment of the battery pack, the transceiver unit is powered up and preferably
calibrated. In another embodiment, the transceiver unit will then try to establish
a radio link connection with the communication unit. This is preferably performed
by a conventional handshake procedure in order to identify the transceiver unit. In
this embodiment, simply connecting the battery establishes that the connection is
correctly made, that the battery is loaded and of the correct type and subsequently
ensures that the system is initiated and ready for use, all in one step. In a further
embodiment, the transceiver unit indicates activation, and optionally also successful
calibration and/or connection with the communication unit, by e.g. a light or sound
signal directly following attachment of the battery pack.
[0028] In yet another embodiment, powering up of the components in the transceiver comprises
a software step wherein the system is checked for previous use of the same transceiver
unit. If the transceiver unit has been used previously, the system is immediately
powered down or otherwise prevented from improper use. This ensures that each single-use
transceiver unit, and the connected sensor, is only used as designed (for example,
when fully powered batteries are provided).
[0029] Battery packs 6, 16, 26 can comprise one or several batteries. The batteries can
be of a non-rechargeable or a rechargeable type. The battery type can be any type
in the art, including, but not limited to lithium primary battery, lithium ion (such
as lithium iodine, lithium thionyl chloride, lithium carbon monofluoride or lithium
silver vanadiumoxide) battery, alkaline manganese battery, other alkaline batteries,
nickel cadmium battery, nickel metal hydride battery, mercury oxide battery, silver
oxide battery, lead battery, zinc-air battery, carbon zinc battery, zinc manganese
battery, manganese dioxide battery, and a capacitor cell.
[0030] Using an attachable and detachable battery pack, allows for an increased freedom
in choice of sterilization methods during manufacture, as the energy source is disconnected
from the electrical circuit, and the risks of processing live circuitry in the sterilization
procedure are obviated. A battery pack according to the present invention, i.e. a
battery pack which is not part of a live circuit (in other words, the battery pack
is disconnected from any circuitry and therefore no current is flowing), can be sterilized
using any sterilization method in the art, including but not limited to gas sterilization,
autoclaving, radiation or alcohol treatment. The sterilization method used for the
battery pack can be different from the sterilization method used for the transceiver
unit and pressure sensor wire because each of these components is readily separable
from each other.
[0031] Embodiments of the invention also provide a method of reusing an energy source for
a guide wire assembly having a pressure sensor wire and the energy source, the method
including (1) sterilizing the pressure sensor wire and (2) recharging and sterilizing
the energy source separate from the sterilizing of the pressure sensor wire before
the energy source is electrically coupled to the pressure sensor wire.
[0032] Using a detachable battery pack, in addition to making production and sterilization
safer, is also positive from an environmental point of view. A battery pack can be
transferred from one transceiver unit to another, enabling use of one battery pack
for several interventional procedures. Preferably, the battery pack is re-sterilized
and optionally recharged before subsequent use. Also, disposal of the battery is made
easy when using a detachable battery pack.
[0033] Manufacture of a sensor guide wire entails calibration and testing of the final product
before shipping to the user. When producing a sensor guide wire with a detachable
battery pack, the manufacturer has the advantage of being able to use an energy source
other than the energy source to be used during the surgical procedure for testing
and calibrating the sensor during manufacture. Thus, the energy source needed for
the surgical procedure is not depleted before initiation of the surgical procedure
itself.
[0034] Although the present invention has been described with reference to specific embodiments
it will be apparent for those skilled in the art that many variations and modifications
can be performed within the scope of the invention as described in the specification
and defined with reference to the claims below.
1. A transmitter unit adapted to be connected to an elongated member provided at its
distal end with a sensor, wherein the elongated member is adapted to be inserted into
a patient and therein measure a physiological parameter, in order to transfer measured
physiological data to an external device, characterized in that the transmitter unit comprises a separate attachable energy source, and wherein the
transmitter unit further comprises a receiver module, to form a transceiver unit.
2. A transmitter unit according to claim 1, characterized in that the transmitter unit is adapted to wirelessly communicate by a communication signal
with a communication unit, arranged in connection with an external device.
3. A transmitter unit according to claim 1, characterized in that the transmitter unit is activated automatically upon connection of the attachable
energy source.
4. A transmitter unit according to claim 1, characterized in that the transmitter unit is calibrated automatically upon connection of the attachable
energy source.
5. A transmitter unit according to claim 1, characterized in that the transmitter unit automatically establishes a communication link with a communication
unit of the external device upon connection of the attachable energy source.
6. A transmitter unit according to claim 3, 4 or 5, characterized in that a successful outcome is indicated by a light or sound signal.
7. A transmitter unit according to claim 1, characterized in that the transmitter unit comprises means to prevent re-powering of the sensor after a
completed measurement procedure measuring said physiological parameter.
8. A transmitter unit according to claim 7, characterized in that said means to prevent re-powering of the sensor comprises an attachment mechanism
which prevents subsequent detachment of the energy source after completed attachment.
9. A transmitter unit according to claim 7, characterized in that said means to prevent re-powering of the sensor comprises software programming designed
to prohibit re-use of the sensor after one completed measurement procedure.
10. A transmitter unit according to claim 1, characterized in that the physiological parameter is pressure, temperature or flow.